Credentialing Specialist

Credentialing Specialist

Location: Nashville, TN

Job Type: Contract-to-Hire

Industry: Healthcare

Our growing healthcare client in Nashville is seeking a highly organized and detail-oriented Credentialing Specialist to join their expanding team. This individual will play a critical role in ensuring healthcare providers are properly credentialed, enrolled, and compliant with regulatory, payer, and organizational requirements.

This is an excellent opportunity for a healthcare professional who thrives in a fast-paced environment and enjoys managing complex processes that directly support patient care and operational success.

Key Responsibilities

• Coordinate initial credentialing, recredentialing, and provider enrollment activities for physicians, advanced practice providers, and other healthcare professionals
• Collect, verify, and maintain provider credentials, including licenses, certifications, education, training, malpractice coverage, and work history
• Prepare and submit credentialing applications to hospitals, health systems, insurance payers, and regulatory agencies
• Monitor expiration dates and ensure timely renewal of provider licenses, certifications, DEA registrations, and other required documentation
• Maintain accurate provider records within credentialing databases and systems
• Respond to credentialing inquiries from providers, payers, and internal stakeholders
• Track application status and follow up with insurance carriers and credentialing entities to resolve delays
• Collaborate with provider relations, revenue cycle, medical staff, and operations teams to support onboarding and ongoing compliance

Qualifications

• 3+ years of credentialing, provider enrollment, medical staff services, or healthcare administration experience preferred
• Knowledge of healthcare credentialing processes, payer enrollment, and provider licensing requirements
• Strong knowledge of Medicare, Medicaid, and commercial payer enrollment procedures
• Proficiency with Microsoft Office, including Excel and Outlook
• Excellent organizational skills with strong attention to detail
• Ability to manage multiple deadlines and prioritize effectively
• Strong written and verbal communication skills

Benefit offerings include PTO, medical, dental, vision, life insurance, short-term disability, and 401K plan. Provides employees the flexibility to choose the type of coverage that meets their individual needs.

If you meet the qualifications above and this sounds like the opportunity for you, apply today! Not quite what you're looking for? Check out the LHH website for more opportunities in your area!